Individual provider Active NPI

BJ Walper Penansky, CNM ARNP

  • Advanced Practice Midwife
  • Brandon, FL
National Provider Identifier
1629082433
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
ARNP1302962 Issued in FL
Practice address
1012 Hallwood
Brandon, FL 33511-7718
Phone
(813) 245-0913
NPI assigned
Jul 28, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X ARNP1302962 FL Primary

Addresses

Primary practice location

1012 Hallwood
Brandon, FL 33511-7718

Mailing address

1012 Hallwood
Brandon, FL 33511-7718
Phone (813) 245-0913

Other names 1

  • Mrs. B J Krone Penansky Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Certified Nurse Midwife, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP1302962FLMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Suncoast Community Health Centers Inc Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629082433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 HALLWOOD",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335117718",
            "telephone_number": "813-245-0913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 HALLWOOD",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335117718",
            "telephone_number": "813-245-0913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENANSKY",
        "first_name": "BJ",
        "middle_name": "WALPER",
        "name_prefix": "Mrs.",
        "credential": "CNM ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "FL",
            "license": "ARNP1302962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "B J",
            "last_name": "PENANSKY",
            "middle_name": "KRONE",
            "prefix": "MRS.",
            "credential": "CNM ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.